Organization Active NPI

Breaking Ground Psychotherapy and Wellness, Apc

  • Clinical Social Worker
  • Paso Robles, CA
National Provider Identifier
1669323143
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BREAKING GROUND PSYCHOTHERAPY AND WELLNESS, APC
Practice address
911 21St St Ste 204
Paso Robles, CA 93446-1722
Phone
(805) 835-2078
NPI assigned
Feb 9, 2026
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alisha Dozier, LCSWNPI 1508243163
Title
Owner
Phone
(805) 835-9109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

911 21St St Ste 204
Paso Robles, CA 93446-1722

Mailing address

8320 Shirdon PL
Paso Robles, CA 93446-8363
Phone (805) 835-2078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260415003587 CA Part B Supplier - Clinic/Group Practice 6103392345 Receives reassigned benefits from 1 practitioner
Practice locations: Paso Robles, CA

National Provider Directory

National Provider Directory

Locations

911 21st St
Ste 204
Paso Robles, CA 93446
Phone (805) 674-9002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1669323143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 SHIRDON PL",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934468363",
            "telephone_number": "805-835-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 21ST ST STE 204",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934461722",
            "telephone_number": "805-835-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING GROUND PSYCHOTHERAPY AND WELLNESS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "DOZIER",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-835-9109",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.